HI Heather. My charge nurses over see a few chats. We only do primary care at this time so the charge nurses are in 4 total chats when in their role:
- Pediatric patient needs - where RNs on the phone with a peds pt post a question to the charge
- Adult patient needs - where RNs on the phone with an adult pt post a question to the charge
- Charge RN chat - this is where we have all charge RNs in to bounce things off each other, train and upload resource documents
- Leadership needs - this is a chat established for when there are issue that arise that need leadership (non-urgent) the charge nurse puts here. Whichever leader is going to own the issue gives it a thumbs up.
I do not expect my charge RNs who hopefully move to supervisor to add more to their role other than each supervisor will lead a charge/supervisor meeting monthly and be in rotation for evening shifts (currently we are only open 7a-9p, M-F and myself and managers cover the later shifts as the leader on. This would go to them with the CANMs.
The charge nurse currently monitors the chats, answers questions for the nurses who are stuck with something on the phone, input tickets for IT issues, help create resource documents and reach out to practice managers if we are unable to reach them for something urgent. Anything past that point goes to our leadership team to handle. They are also responsible for updating a charge RN daily form that has everyone's lunch schedules, and the on-call provider information for the after 5pm time frame. I can show you some documents offline, I would need to remove some internal links. Feel free to email me.
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Jaime Fletcher
Director, Ambulatory Nurse Triage
Orlando Health
Orlando FL
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Original Message:
Sent: 06-10-2025 15:42
From: Heather Arms
Subject: Charge Nurse Role and Responsibility in Ambulatory
Hi Jamie,
Thank you for your response. I am interested in how the virtual nurses oversee chats throughout the day. Do you have big group chats that they have access to monitor this? Or is this happening behind the scenes? Will you have these nurses that you will group into the supervisor job code have other responsibilities in addition to overseeing chats and being a liaison?
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Heather Arms
Clinical Manager Dept of Nursing
Gundersen Health
Onalaska WI
Original Message:
Sent: 05-23-2025 23:31
From: Jaime Fletcher
Subject: Charge Nurse Role and Responsibility in Ambulatory
I'm manage a team of telephone nurse triage nurses, and we have virtual charge nurses who oversee our chats throughout the day and work as a liasion between leadership and the telephone team.
For us the ambulatory nurse job code does not qualify for charge nurse pay so I have input a request for nursing supervisors for next FY to put charge nurses into.
I know this doesn't truly answer your question as you're looking for EBP in a clinic setting but giving you an idea of what we do and our challenges.
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Jaime Fletcher
Director, Ambulatory Nurse Triage
Orlando Health
Orlando FL
Original Message:
Sent: 05-22-2025 18:40
From: Heather Arms
Subject: Charge Nurse Role and Responsibility in Ambulatory
Hello,
I am a clinical manager supporting ambulatory nursing practice. I am seeking information on what are the standard roles and responsibilities of the charge nurse or head nurse over ambulatory (RN's, MA's and LPN's) in a clinic setting. I find it varies widely and am seeking information and also any evidenced based recommendation on a model that has worked well in other ambulatory clinics. Appreciate any insight!! :-)
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Heather Arms
Clinical Manager Dept of Nursing
Gundersen Health
Onalaska WI
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